European Military Surgical Teams in Combat Theater: A Survey Study on Deployment Preparation and Experience
Recently unfolded international conflicts have increased the urgency of establishing greater military readiness among NATO and other Western allies. According to previous conflicts ’ case logs, military medical services should be prepared to treat combat casualties, which often involve penetrating injuries due to blasts or gunshots [1]. Such injury patterns differ significantly from those of the regular caseload of most Western surgical teams, indicating that relevant trauma exposure is rare in the non-deployed (i.e., civilian) setting in low-violence countries [2,3]. (Source: Injury)
Source: Injury - January 10, 2024 Category: Orthopaedics Authors: Frederike J.C. Haverkamp, Thijs T.C.F. Van Dongen, Michael J.R. Edwards, Thomas Boel, Antti P öyhönen, Edward C.T.H. Tan, Rigo Hoencamp Source Type: research
Clinical value of S100B in detecting intracranial injury in elderly patients with mild traumatic brain injury.
Elderly patients, defined as patients older than 65 years of age, with mild traumatic brain injury (mTBI) (Glasgow Coma Scale (GCS) of 13-15) represent a large proportion of patients visiting the Emergency Department (ED) [1 –3]. Furthermore, patients 65 years of age or older have the highest rates of both TBI-related hospitalization and deaths [1]. It is an increasing public health concern as the elderly population continues to grow. (Source: Injury)
Source: Injury - January 8, 2024 Category: Orthopaedics Authors: Juliette A.L. Santing, Joella H. Hopman, Rolf J. Verheul, Joukje van der Naalt, Crispijn L. van den Brand, Korn é Jellema Tags: Review Source Type: research
Biomechanical Analysis of Posteromedial Tibial Plateau Fracture Fixation in Fresh Cadaveric Bone
This study aims to compare the mechanical strength of three different posterior-based internal fixation methods for posteromedial tibial plateau fractures. The study utilized 12 tibial plateaus harvested from fresh-frozen cadavers, and the posteromedial fracture fragments were created. The bones were then randomly assigned to one of three fixation methods: two posteroanterior lag screws (LS) size 4.0 mm, posterior buttress plate using a 3.5 mm small dynamic compression plate (DCP), or posterior buttress plate using a 3.5 mm T-shaped plate (TP). (Source: Injury)
Source: Injury - January 8, 2024 Category: Orthopaedics Authors: Nattaphon Twinprai, Prin Twinprai, Suwitcha Sripaduangkul, Rarinthorn Samrid, Nakarin Nimpisut, Rit Apinyankul, Teerawat Laonapakul, Prinya Chindaprasirt Source Type: research
Does the angle between dynamic hip screw and anti-rotation screw affect the outcome of vertically oriented femoral neck fractures? A biomechanical analysis and clinical results
Femoral neck fracture (FNF) is a commonly encountered injury in the orthopedic practice, in which the vertically oriented femoral neck fracture (VOFNF) is the most unstable one [1]. The postoperative complications corresponding nonunion of the fracture and osteonecrosis of the femoral head are hard to be overcome, which increases the difficulty of the treatment [2]. Despite the improvement of surgical techniques, the failure rate of the VOFNFs is still relatively high, with a nonunion rate of 20-27% and an incidence of osteonecrosis of 10-11% [3]. (Source: Injury)
Source: Injury - January 6, 2024 Category: Orthopaedics Authors: Hang Xian, Weike Cheng, Wei Xie, Lei Wang, Deqing Luo, Hui Liu, Kejian Lian, Dasheng Lin Source Type: research
Response to Letter to the Editor regarding “Is local anesthesia or general anesthesia preferable for plate removal after clavicle fracture surgery under general anesthesia? A comparative study using a patient questionnaire” by Uraya et al.
This study was approved by the Institutional Review Board of Fujita Health University (HM20-055) and Shizuoka City Shimizu Hospital (SH-39). (Source: Injury)
Source: Injury - January 4, 2024 Category: Orthopaedics Authors: Yuki Uraya, Yusuke Kawano, Takashi Kuroiwa, Hirotaka Watanabe, Atsushi Maeda, Takuya Funahashi, Kanae Shizu, Katsuji Suzuki, Nobuyuki Fujita Tags: Author's Reply Source Type: research
Arthroscopically Assisted Closed Reduction for Displaced Lateral Humeral Condyle Fractures Over 4 mm in Children
Lateral humeral condyle fractures (LHCFs) are the most common intra-articular fracture occurring at the elbow in children. Conventional treatment for displaced pediatric LHCFs is open reduction and percutaneous pinning, and few studies have regarded the efficacy of arthroscopic-assisted techniques. We aimed to evaluate the efficacy of anatomic reduction via elbow arthroscopy for pediatric humeral lateral condyle fractures with displacements>4 mm. (Source: Injury)
Source: Injury - January 4, 2024 Category: Orthopaedics Authors: Liuqi weng, Ge Zhang, Hai Zhou, Xing Liu, Yujiang Cao, Yuan Zhang Source Type: research
The Catastrophic Cost of Motorcycle Road Traffic Injuries: Experience from a Major Reference Centre in a Lower-Middle Income Country
Road traffic crashes pose a considerable threat in low- and middle-income countries (LMICs), not only to life and limb but also to the household economy through catastrophic expenditure for treatment. More than 90% of the global burden of road traffic injuries (RTIs) is borne by LMICs,[1] where road traffic crashes (RTCs) claim more lives annually than the leading infectious diseases Malaria, HIV/AIDS and tuberculosis combined.[2] Globally, Africa has the highest mortality rate from RTI – 26.6 per 100 000 with it being increasingly recognized as the ‘third burden of disease’ in sub-Saharan Africa.[3,4] (Source: Injury)
Source: Injury - January 4, 2024 Category: Orthopaedics Authors: EO Oladeji, C Ezeme, LA Baiyewu, MO Okunola, SO Ogunlade Source Type: research
The Adelaide Facial Bone Rule: A Simple Prediction Model and Clinical Guideline for the Presence of Facial Fractures Using CT Brain Scans in Victims of Minor Trauma.
In 2007, a paper by Brenner and Hall[1] alerted the medical community to the potential population-level harms associated with the increasing use of computed tomography (CT) scanning. In particular, they estimated that 1-2 % of all cancers may now be caused by exposure to medical radiation, implying major public health consequences and underlining the importance of avoiding unnecessary CT scanning. Further research continues in this area, and has included studies showing substantial over-use of CT scanning[2 –4]. (Source: Injury)
Source: Injury - January 3, 2024 Category: Orthopaedics Authors: Dr Sarah Constantine, Associate Professor Amy Salter, Dr Jennie Louise, Professor Peter J. Anderson Source Type: research
Reply to: 'Comment on: Natural history and non-operative management of penetrating cerebrovascular injury'
We thank the authors of this Letter to the Editor for thoughtfully reviewing our manuscript, and thank the Editor for the opportunity to respond. (Source: Injury)
Source: Injury - January 3, 2024 Category: Orthopaedics Authors: Cordelie E. Witt, Joshua J. Sumislawski, Clay Cothren Burlew Tags: Author's Reply Source Type: research
Response to the Letter regarding ‘Dumontier group 2 radiocarpal fracture-dislocation: the results of open reduction and fixation without volar ligament repair’
We read with great enthusiasm the Letter to the Editor regarding our case series [1]. Indeed, radiocarpal fracture-dislocations (RCFDs) represent a spectrum of severe bony, ligamentous, and carpal injuries. Therefore, we applaud the exhaustive bibliographical search and analyses carried out by the authors with regard to harmonisation of the classifications concerning RCFDs [2]. However, we should clarify several issues. (Source: Injury)
Source: Injury - January 3, 2024 Category: Orthopaedics Authors: Siang Hsu, Ching-Hou Ma, Hsueh-Pu Chou, Chin-Hsien Wu, Cheng-Yo Yen, Yuan-Kun Tu Tags: Author's Reply Source Type: research
Is there genetic susceptibility for atypical femoral fractures?
The mechanisms underlying AFF remain unclear, with hypotheses including bone turnover suppression and morphological variation. Recent studies have suggested a potential genetic susceptibility to AFF. A scoping review was conducted using PubMed to identify studies published since 2016. Twenty-one studies were identified, focusing on histological and genetic analysis of AFF patients and BP users. Biopsies and imaging modalities were used to assess histological and morphometric parameters, while genetic sequencing was performed to identify variants in target genes. (Source: Injury)
Source: Injury - January 2, 2024 Category: Orthopaedics Authors: Maximilian Ellacott, H üseyin Bilgehan Çevik, Peter V. Giannoudis Tags: Editorial Source Type: research
Rethinking Cervical Spine Clearance in Obtunded Trauma Patients: An Updated Systematic Review and Meta-Analysis
This study systematically synthesized the last decade of evidence to determine the type of imaging required to clear the c-spine in obtunded patients with blunt trauma. (Source: Injury)
Source: Injury - December 30, 2023 Category: Orthopaedics Authors: Pierre-Marc Dion, Marjorie Lapierre, Hussein Said, Sophie Tremblay, Khadeeja Tariq, Tyler Lamb, Shane W. English, Michael Kingstone, Alexandra Stratton, Sylvain Boet, Risa Shorr, Jacinthe Lampron Tags: Review Source Type: research
Pneumopericardium Following Severe Thoracic Trauma
Thoracic injury is associated with significant morbidity and is currently the third most common cause of death in polytrauma patients [1,2]. Regardless of the mechanism, traumatic pneumothorax (PTX) is a common thoracic injury and is present in 80% of penetrating trauma requiring admission [1,3]. While traumatic PTX is common, traumatic pneumopericardium (PPC) is significantly less common. First described by Bricheteau in 1844, PPC is a clinical condition characterized by the collection of air in the pericardial sac [4]. (Source: Injury)
Source: Injury - December 29, 2023 Category: Orthopaedics Authors: Jason D. Sciarretta, Soroosh Noorbakhsh, Yoo Joung, Daniel W. Bailey, Mari Freedberg, Jonathan Nguyen, Randi N. Smith, Patricia Ayoung-Chee, Millard A. Davis, Elizabeth R. Benjamin, S.Rob Todd Source Type: research
Evaluation of pre-hospital cannabis exposure and hospital opioid utilization in a trauma population: A retrospective cohort
Cannabis is a widely accessible and consumed substance with increasing availability. Across the United States (US), several states have legalized or decriminalized cannabis use. Additionally, cannabis remains a commonly used substance worldwide (1). According to a 2018 National Survey on Drug Use and Health, over 39 million people over the age of 12 reported the use of cannabis in the past year (2). According to a 2015 National Survey on Drug Use and Health, cannabis is the most common illicit drug used with approximately 22.2 million users in a given month (3). (Source: Injury)
Source: Injury - December 29, 2023 Category: Orthopaedics Authors: Alexander J. Chang, Ali F. Mallat, Marc J Edwards, Joseph N. Gabra, Michaelia D. Cucci Source Type: research
Telephone follow-up by nurse practitioners of geriatric patients discharged from the emergency department after traumatic injury
Geriatric patients presenting to the emergency department (ED) with a traumatic injury are potentially in a vulnerable condition after ED discharge: a new injury may mark the beginning of a difficult recovery and functional decline. [1 –4] Older individuals often face multiple somatic, psychological, social and/or functional challenges that increase their risk for adverse outcomes following discharge. These adverse outcomes include a higher likelihood of functional decline, new unplanned ED visits, nursing home placement, and mo rtality. (Source: Injury)
Source: Injury - December 29, 2023 Category: Orthopaedics Authors: J.W. Schuitenmaker, T.E. Argillander, M.E. Bakker, M.H. Sandel, M.M.S. Zwartsenburg Source Type: research
